Individual provider · Type 1 NPI

Chong Kim

Student in an Organized Health Care Education/Training Program · Hyannis, MA

NPI number 1104410364 Active

Practice location

735 Attucks Ln
Hyannis, MA 02601-1867

Call (508) 778-5420 Map

Mailing address

1505 Cheshire Ct
Lawrenceville, GA 30043-6514

Other practice locations

  • 1135 Morton St, Mattapan, MA 02126-2834 · (617) 533-2278

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104410364

Chong Kim's National Provider Identifier is 1104410364, issued on Feb 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hyannis, MA. The record was last updated on Feb 26, 2021.